Individual
TANYA MARIE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1265 S COTNER BLVD STE 30, LINCOLN, NE 68510-4924
(402) 488-1184
(402) 488-1187
Mailing address
7100 N 176TH ST, WAVERLY, NE 68462-9632
(402) 314-8390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15314
NE
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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